File:Radiography, x-ray therapeutics and radium therapy (1915) (14571797917).jpg

Identifier: radiographyxray00knox (find matches)
Title: Radiography, x-ray therapeutics and radium therapy
Year: 1915 (1910s)
Authors: Knox, Robert, 1868?-1928
Subjects: Radiography Radiotherapy
Publisher: New York, Macmillan
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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eritoneal bands or adhesions must also be considered. These may besuspected when during an examination any particular part of the organappears to be unduly fixed, or when the whole organ is relatively higher thannormal. These adhesions are a frequent accompaniment of healed gastriculcer, inflammatory conditions of the gall-bladder, etc. Ptosis.—The most obvious and frequent change noted in the stomachis that of ptosis. In true gastroptosis the bismuth meal is seen to fallthrough the stomach quickly, the lack of muscular tone allowing the foodto pass rapidly through and collect in the sinus. The pylorus and oesophaguswith the fornix are firmly fixed by their ligaments, and the ptosed stomachtherefore increases in vertical length, the bismuth meal distending the lowerportion of the stomach, while in the median part of the body the walls areapproximated, the fornix being generally distended with gas. The peri-staltic waves are almost entirely absent in the erect position, and show then
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PLATE XLV.^OPAQUE Meal in Stomach and Colon. a, Opaque meal in stomach twenty-four hours after ingestion ; pyloric obstruction confirmed at operation.h, Delay in stomach due to adhesions at pylorus, which was attached to anterior abdominal wall,c, Colon from the same patient, showing a sharp bend in transverse colon, which was adherent toanterior abdominal wall, confirmed by oijeration. ULCER OF THE STOMACH 223 only in the pyloric canal. They are more frequent and deeper when thepatient lies down. In most of these cases a condition of atony of the stomachwall supervenes. Then great dilation may follow, though the atony maybe compensated for by muscular hypertrophy. In ptosis with atony thestomach is incapable of emptying itselffor six to eight hours, or even longer,after ingestion of the meal.

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